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PROTOCOL FOR MANAGEMENT OF AN ICS HEALTH DATA UNIT North Dakota Department of Health Document Purpose. The purpose of this document is to describe the structure and function of an incident command organized Health Data Unit including the identification of its resource needs, staffing patterns and data sources. This document also provides descriptions which may guide data management in disaster situations in which the data unit is not activated. The described data unit is limited to disasters which require data processing related to health. It is not the intent of this document to describe a data unit which would be activated for an environmental emergency. Although a similar structure might be used for environmental disasters, personnel, skill sets, data sources and products would be very different. Data Unit Tasks Depending on the staffing available for the data unit, it may become necessary to prioritize requests for data or decrease the frequency of standardized reports. The tasks which are likely to be assigned to the data unit include: Primary collection of data, especially to fill incomplete data elements; Secondary acquisition of data from surveillance systems (e.g., Disease Control, vital statistics) and directly access other data systems (e.g., HC Standard); Recommendations for changes in surveillance methods such as adjustment of HC Standard tables; Providing technical assistance to primary reporters accessing data systems (e.g., HC Standard); Analysis of data to produce tabular data primarily, but also text, graphs and maps as indicated. Transmission of standardized reports to the DOC or other users to which the data unit has been asked to provide specific pieces of data; Created December 31, 2008 Modified December 3, 2014 1

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PROTOCOL FOR MANAGEMENT OF AN ICS HEALTH DATA UNITNorth Dakota Department of Health

Document Purpose.The purpose of this document is to describe the structure and function of an incident command organized Health Data Unit including the identification of its resource needs, staffing patterns and data sources. This document also provides descriptions which may guide data management in disaster situations in which the data unit is not activated.

The described data unit is limited to disasters which require data processing related to health. It is not the intent of this document to describe a data unit which would be activated for an environmental emergency. Although a similar structure might be used for environmental disasters, personnel, skill sets, data sources and products would be very different.

Data Unit TasksDepending on the staffing available for the data unit, it may become necessary to prioritize requests for data or decrease the frequency of standardized reports. The tasks which are likely to be assigned to the data unit include: Primary collection of data, especially to fill incomplete data elements; Secondary acquisition of data from surveillance systems (e.g., Disease Control, vital

statistics) and directly access other data systems (e.g., HC Standard); Recommendations for changes in surveillance methods such as adjustment of HC

Standard tables; Providing technical assistance to primary reporters accessing data systems (e.g., HC

Standard); Analysis of data to produce tabular data primarily, but also text, graphs and maps as

indicated. Transmission of standardized reports to the DOC or other users to which the data unit

has been asked to provide specific pieces of data; Transmission of analytic results to Disease Control for further work or interpretation; Special analysis or report preparation requested by the DOC or by Disease Control; Alerting of DOC of critical thresholds identified in the data; Technical assistance to public information officers preparing information release to

the media; Updating NDDoH informational web sites such as data displays or policy boards; Monitoring specific real time data systems, particularly POD un-dispensed antibiotics

or vaccine and un-dispensed antivirals at all dispensing sites (banks, pharmacies, clinics) and cache supplies.

Categories of Data Morbidity and mortality; Disease epidemiology (e.g., high risk groups for disease and death, disease

progression, disease distribution); Impact on health care system, including inpatient, outpatient and transport ;

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Isolation and quarantine, including line listings and social need; Social distancing, including compliance and impact; Antivirals/antibiotics, including progress with distribution and inventories; Mass vaccination, including inventories and progress; Priority vaccination, including coverage of key infrastructure and second dose

completion; Medical and POD supply inventories and rate of use; Mental health impact; Workforce, including availability and assignments and may include local, state and

federal.

ICS Decisions Supported Change in legal authority via executive order; Change in standard of care; Patient transfer to even out hospital overload; Health care recommendations including EMS triage protocols, admission criteria,

allocation of ventilators and palliative care guidance; Allocation and conservation of medical supplies; Suspension of elective admissions; Opening and closing of MCF facilities and change in MCF policies; Allocation of priority vaccine among domains and local areas; Local mass vaccination sites requiring assistance; Education efforts required; Restriction on inappropriate antiviral usage; Policy change to slow rate of antiviral dispensing; Implementation of alternative distribution methods or timetables; Change in security procedures; Actions to promote social distancing; and, Maintenance of adequate resources for mass dispensing.

Activation.The data unit will be activated as an incident command decision. In most health events, the Division of Disease Control is expected to take the lead in data analysis related to its mission, and in most disasters data processing needs are likely to be fully meet by Disease Control resources. Circumstances likely to trigger the activation of this unit include: Need to draw upon additional analytic resources (especially non-acute

epidemiologists) outside the Division of Disease Control; Need to establish 24 hour data processing capability for a prolonged period; Need to collect or process large amounts of data which are not typically handled by

Disease Control.

Command and Control.The data unit will function under the authority of the Planning Chief of the Department Operations Center of NDDoH. The Data Unit Director may report to the Planning Chief or a designee of the planning chief. However, since the data unit will share data

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production responsibilities with Disease Control, it is assumed that the data unit lead will also manage data requests which come directly from Disease Control and provide results back to Disease Control.

Work load requirements will determine the size of the data unit. In some disaster events, the Data Unit Director may be the only person assigned to the data unit. The Data Unit Director may request, through the incident command system, the assignment of specific individuals known to have skills needed by the data unit or the assignment of additional personnel without specific skills depending on the task requirements. Expansion of staff may be for a single shift or may represent a sustained increase in the capacity of the unit.

Data Unit DirectorThe Data Unit Director on duty will receive all incoming requests for data and allocate those tasks to the personnel assigned to the data unit. As work loads increase, the Data Unit Director may spend an increasing percentage of his or her time in unit management rather than data processing. One person will be the lead Data Unit Director who will assume overall policy and management decisions. Responsibilities of the lead Data Unit Director include: Requesting personnel with the skills to accomplish requested tasks by working

through the DOC; Drafting a staffing schedule and communicating with the Logistics Section assigned

personnel manager for the DOC; Establishing a production schedule for completion and transmission of data reports; Establishing standardized data report formats, whether the same or different than the

sample formats provided with this document; and, Making policy recommendations or requests regarding surveillance systems for data

collection (e.g., adding or removing data elements, changing data collection methods, change source of data used for reports). Depending on the surveillance system the decision may lie within another jurisdiction such as the Division of Disease Control;

Receiving all requests for work and allocating them to staff; Assisting other unit members with tasks or problem solving, whether directly or by

assignment; Assigning a supervisory command structure which most efficiently completes the

tasks; Ensuring the quality of data released including accuracy, labeling, and dating/timing

and ensuring adequate documentation of limitations on the released data; Ensuring that the production schedule is met; Ensuring that products are transmitted to all designated recipients in a timely manner; Ensuring that privacy policies are followed for protection of protected and

confidential data; and, Reviewing data results for thresholds which need to be communicated by phone call

or otherwise acted upon.

Skill Set Requirements of Data Unit. Personnel assigned to the data will fall into three categories:

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Director – See tasks assigned above. This person is expected to be able to function as an analyst when not performing administrative duties;

Analyst – Persons having the analytic skills to process record level data, evaluate the findings, identify data limitations and prepare data products;

Data Assistant—Persons without specialized data skills who can be assigned non-technical tasks (e.g., data entry, document formatting, data collection, result confirmation, data transmission).

Although not all persons assigned to the data unit will need to be proficient in all skills, the unit as a whole will need to have access to all of the following skills. Intermediate skill in use of analytic software; Basic skill in use of GIS software; Intermediate skill in use of presentation software for graphic production; Basic skill in use of spreadsheets; Intermediate skill in use of word processing software; Basic skill in use of web publishing software; Basic skill in use of word processing software; Basic skill in use fax machine, email software; Intermediate skill in use of HC Standard. Intermediate Internet use proficiencyAdditional skills or higher level skills than those listed above may be needed for completion of specific tasks. Potential additional skills which might be needed include accessing data using disease control surveillance, immunization registry data, SNS inventory software and use of outbreak management software. For infrequent requests which require a higher level of skills, the Data Unit Director can decide whether to change personnel assignments or draw on other personnel inside or outside NDDoH who can assist with the requested task.

Location.The data unit may function as a centralized or decentralized unit depending on its size and expected duration of existence. For a large disaster such a moderate or severe influenza pandemic, the data unit will function most efficiently if it is centralized to a single room or adjacent offices where assigned members can be in close contact. Because of the logistic challenge of accomplishing this, in many disasters in which it is activated, the data unit will be decentralized.

Resource Needs.Analyst computers should have the following: Microsoft Office including Publisher SAS or SPSS depending on personal proficiency Microsoft Outlook Abobe Acrobat Reader High speed internet access Access to a printer by direct connection or network Access to a shared server drive with the DOC, and may require different shared drive

with Disease Control

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Access to a fax machine and landline telephone

Additional software which will be needed by some analysts: Adobe Acrobat (professional) ArcMap EpiInfo Access Microsoft Expressions Web DBMS Copy (converts databases between formats including SAS and SPSS) Telephone with video conference capability

In addition to the basic analyst package, the Director on duty should have: Desktop videoconferencing software Cell phone

Data assistants should have: Microsoft Office including Publisher Microsoft Outlook Abobe Acrobat Reader High speed internet access Access to a printer by direct connection or network Access to a single shared server drive (to be designated at the time of the event) Access to a fax machine and landline telephone

Data Assumptions. Data will be collected or retrieved from diverse sources. Some of the data will be incomplete requiring retrieval of data elements before

analysis and requiring footnotes to document data limitations; Not all data processing will occur in the data unit; some may be assigned in other

units, especially Disease Control, where greater expertise with some types of data will exist;

Large expenditures of effort for ad hoc data collection will be manpower intensive, but the persons assigned to these tasks will not need to be epidemiologists or data analysts;

Some of the data used by the data unit will be confidential; however, little of the data output by the data unit will be confidential;

Most data reports will be produced once per day; however, some data output may be needed more than once per day and other data may be produced less than daily or only on request;

The sources of some types of data will fluctuate as institutions such as community morgues, minimum care facilities or NDMS facilities open and close in response to disaster;

The data results will need to be released in easy to use report formats; Some types of data (i.e., data that is not health or health care related) will be outside

the usual scope of data analysis of the unit even though that data may be needed by

Created December 31, 2008Modified December 3, 2014

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the DOC. It is expected that other data processing capacity will be used to produce non-health data.

Categories of Data NeedThe following categories of data are expected to be needed in some or all health events: Deaths (incidence, cumulative incidence, geographic location, demographic

characteristics, total and disaster related cause, temporal trends, source (hospital, MCF, community), recovered/un-recovered, unidentified, contaminated);

Attack rates (case counts, geographic distribution, temporal trends); Epidemiologic risk factors (risk factors); Hospital and Minimum Care Facilities (MCF) admissions (incidence and cumulative

incidence, palliative patients, residual capacity, facility mortality, rate of increase); Hospital and MCF capacity and overcapacity (staffing percentage for critical and

non-critical, percentage over usual capacity, hospital specific, rate of increase); Outpatient care (patient access, unmet needs, medication access, wait times) EMS (operational and non-operational, uncovered areas, restricted capacity, altered

protocols) LTC unit capacity and overcapacity (staffing percentage, percentage over usual

capacity, additional patients being cared for); Community morgue occupancy and residual capacity (rate of increase, dispositions

made); Ventilators (in use, not in use, additional needed); Un-dispensed antibiotics, vaccine or antivirals at dispensing sites (inventory, rate of

use, need for re-supply); State cached material (rate of use, facility-specific); Status of dispensing sites (open or closed, percentage of target population covered,

wait times); Second dose vaccination completion; Isolation and quarantine status (number of patients, voluntary vs involuntary,

measures of compliance, evidence of continued new case contagion); Case-tracking line listing; State and local public health workforce availability (percentage staffing, staffing

shortfalls, skill shortfalls) Volunteer availability (medical and non-medical, additional need, recruitment

success, attrition, occupational risk (e.g., volunteer illness); Community compliance and impact with social distancing (economic/social impact,

public acceptance, efficacy); Mental health impact (prevalence of acute mental illness, decompensation, unmet

need for chronic mental illness) ;

Sources for Data Elements.

Indicator Source Utility Anal.Value

Incident deathsVital Statistics + Provides causality Med

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+ Captures deaths at all community locations+ Provides epidemiologic detail- Delay in reporting limit utility to ICS

Hospital and MCF via HC Standard

+ Potentially same day reporting + Causality available- Epidemiologic detail may be difficult to capture - Some sites will require daily contact- Does not capture deaths in the community

High

Community Morgue via HC Standard

+ Potentially same day reporting + Captures both community and institution deaths+ Provide final disposition- Not in use in all communities or all disasters- May split services with funeral homes- Not available early or late in epidemic- No pre-prepared contact list available - Some sites will require daily contact- Causality and epi detail unavailable

High

Attack RatesEpi Investigation

+ When usual, accurate, timely and detailed data including case count- Only available for small events or early in large outbreaks- Case finding may be difficult in some events

Med

Business Absenteeism

+ Provides workforce statistics + May be more easily obtained for some business (health-care and public health)- Ability of sites to determine reason for absenteeism - Does not provide a population cross-section - No surveillance system for collection - Severe events may close businesses- Does not capture children

Med

Outpatient Visits

+ Provides healthcare system data also- Indirect measure of attack rate- Underestimates case numbers- No surveillance mechanism for outpatient visits- No epidemiologic detail - Affected by changing access

Med

Requests for Antivirals

+ Readily available and timely+ Captures all ages

Med

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- Epidemiologic detail limited- Only available for pandemic influenza- Underestimate attack rate

Long Term Care Reporting of Outbreak

+ Needed indicator for potential action - Not a useful measure for attack rate

Med

Healthcare Utilization

Hospital Admissions and Capacity via HC Standard

+ Timely+ Critical indicator of system overload- Stimulated reporting likely necessary from some- No epidemiologic detail - Does not provide discharge disposition

High

Outpatient Visits for Disaster-Related Illness

+ Valuable indicator of system overload- No surveillance mechanism- No epidemiologic detail

Med

Long Term Care Capacityvia HC Standard

+ Useful indicator of system overload+ Surveillance mechanism identified- Stimulated reported likely needed for some - Not provide much indication of disease activity

Med

Morgue Capacity via HC Standard

+ Needed indicator + Readily available- Stimulated reporting likely needed for some

Epidemiologic Risk Factors

Vital Statistics + High quality data+ Analysis can be based on incomplete reporting- Delay limits utility for IC decision making

Med

Epi Investigation

+ High quality data + Readily available for small outbreaks or early in large outbreaks+ Analysis can be based on incomplete reporting- Too labor intensive for large outbreaks- Will have difficulty providing data on risk of death

High

Data from other states

+ Data quality likely reasonably good+ May provide data on risk of death

High

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- Only available in multi-state outbreaks where cases occur sooner than in North Dakota (e.g., most pandemics)

Hotline calls + Readily available in real time+ Data collection likely limited for higher intensity scenarios due to capacity+ Provides information on vaccine or medication adverse events- No denominator available- May not provide type of information desired

High

Materials and Equipment

Cache Supplies + Captured in real time+ Critical for policy to sustain availability- Large number of items makes tracking complex- Tracking facility use rate complex

High

Ventilator Use Reporting Via HC Standard

+ Surveillance system identified- Early indicator of unmet need- Provides no indication of how vents are allocated

High

Un-dispensed Drug or Vaccine

+ Critical indicator for action + Readily available + Provides measure for population coverage + Indicator of POD problems

High

Second Dose of Vaccine Administered

+ Critical indicator for action + Anticipated capture by NDIIS

High

Personnel Tracking

Volunteer Database

+ Provides indication of recruitment over time - Does not provide indication of volunteers actually in use- Does not provide information on volunteer availability

Med

State Strohl System

+ Provides information on critical job functions+ Provides information on duty assignment- Does not track fitness for duty and reason for absenteeism- Limited access- Does not information of specific action

Med

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assignment and availability for new role - Does not provide information on local capacity- Does not provide detailed information on skills

Social Distancing Compliance and Acceptability

Mental Health Impact and Need

EMSEMS Database + Run types and number of runs

- No capacity or personnel loss statistics

Data Unit Reports. Not all content or display elements would necessary be displayed in all events. Reports modeled here are modeled on pandemic influenza.

CONTENT FREQ AND SOURCE DISPLAYMortality Report DailyIncident Deaths – Disaster Related

1. Hospital and MCF reports2. Vital Statistics

Table: statewide 24 hour deaths and cumulative deaths Table: County specific 24 hour and cumulative deathsGraph: Temporal incidenceGraph: Cumulative incidence Map: Temporal incidenceMap: Cumulative Incidence

Incident Deaths – All Cause

1. Community morgue (if open) – HC Standard2. Hospital and MCF reports3. Vital Statistics4. Reports from funeral homes (some stages of event)

Table: Area wide 24 hour and cumulative Table: County specific 24 hour and cumulativeGraph: Temporal incidenceGraph: Cumulative incidence Temporal incidence mapCumulative Incidence map

Hospital Mortality 1. Hospital reports – HC Standard

Tables: Disaster Related, 24 hour and cumulative, by hospitalTables: All Cause, 24 hour and cumulative deaths, by hospital

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Community Morgue(when open)

1. Morgue reports – HC Standard

Table: 24 hour admits by facilityTable: Total bodies by facilityTable: Unidentified body counts by facilityTable: Un-retrieved bodies by communityTable: Final dispositions 24 hours and cumulative

Heath-Care Capacity Report

Daily

Hospital Admits and Discharges

Hospital – HC Standard Table: Number of total admits and discharges for past 24 hours by facility, including number of disaster-related admits and dischargesMap: Number of inpatients per 1000 population by county

Hospital Staffing Hospital – HC Standard Table: Percentage of usual staffing for critical care and non-critical care by facility for past 24 hours and previous two days including percentage change

Hospital Overload Hospital – HC Standard (calculated value)

Table: Critical and non-critical census for past 24 hours and two previous days by facility, including usual staffed beds for critical and non-critical and percentage overloadMap: Average percentage overload by CountyGraph: Statewide time trend in average percentage overload since onset of event

MCF Load MCF Reports (HC Standard) Table: Census of MCF for past 24 hours and for two previous days by facility, including percentage change, number of assisted-living and acute care patients and maximum planned acute and assisted living capacityMap: MCF percent acute capacity by County

LTC Probably HC Standard Table: 24 hour deaths, number of patients with disaster-related illness, number of usual staff beds, census, percentage of usual staffing level by facilityMap: LTC percentage capacity by County

Outpatient Clinics No identified source Table: Number of disaster-related

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patients seen past 24 hours and two previous days, by facility Map: Number of disaster-related outpatients seen per 1000 population, by county

EMS EMS data Map: Uncovered areas, areas with reduced services by severity (triage protocol)Table: Daily influenza and total runs by ambulance service and calls not responded toTable: EMS service by status, percentage usual personnel, ALS capable, BLS capable

Community Containment Report

Daily

Isolation and Quarantine

LPHU and DC will need to use software to track individuals. Primary data responsibility may lie with entity issuing order or recommendation

Table: Number of patients under voluntary and mandatory I&Q by CountyMap: Number of patients under I&Q by CountyGraph: Time trend statewide of number of patients under I&Q by dayLine Listing: All patients by household and patient name under I&Q by LPHU jurisdiction, including date of confinement, anticipated end of confinement, compliance method, agency responsible for social care

Social Distancing Data collection form completed by LPHU

Line Listing by County including status and compliance by domain (school, business, church, retail, public, teens)Assessment of impact Assessment of acceptabilityAssessment of compliance fatigue

Epidemiology Report Weekly or as neededDisease Progression Aggregate of diverse sources

- hospital absenteeism- State employee absenteeism- Might need to set up “sentinel business” reporting

Text: Estimated attack rates and spread of disease, trend analysis, projected epi-curveTable: Estimated attack rate for available countiesMap: Disease severity by county

Risk of illness and death

Vital dataOther state data if availableHC Standard not setup to

Attack rate and mortality by age group and risk group (pregnant, secondary conditions)

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collect this type infoMitigation Impact Report

Unknown data source Table/Text: Description of impact of social distancing on communities including transmission rate and negative impact on infrastructure for all counties for which data exists

Prophylaxis and Treatment Report

Daily

POD Progress IMEDDS HC standard reports?

Table: Open PODs, number served last 24 hours, cumulative number served and percent of target population coverageTable: Daily number served for waveMap: PODs open and percentage coverage of target population

Antibiotic Supply Inventory tracking software Table: Number of doses or courses of antibiotics on hand on hand, estimated time until supply exhaustedTable: Number of courses or doses held by state in cache

Vaccine Second Dose NDIIS Table: Number and population rate of persons overdue for second dose of vaccine (e.g., 60 days post first dose)

Priority Vaccine Coverage

Data source not identified Table: Each infrastructure domain, number of units allocated and percentage of target coverage achieved

Antiviral Supply Inventory tracking software Table: Estimated number of persons served in the past 24 hours and cumulative, by dispensing siteTable: Number of courses of antivirals on hand and estimated time until supply exhausted. Table: Number of courses held by state in cache

Re-supply List Inventory tracking softwareHC Standard requests

Table: Separate list of sites requiring re-supply for each supplier (Dakota Drug, Kreiser, RSS) for antibiotics, vaccine and antivirals

Adverse Event Report Additional definition needed.Appears that primary source will need to be hotline data

Line Listing: Cumulative list of all persons reporting adverse events related to prophylaxis and resolution status

Medical Supply Report

Daily

Cache Report Inventory tracking software Table: List of each cache item,

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beginning number of item pre-event, remaining number, percentage of total remaining, number sent out in past 24 hours, estimated date of supply exhaustion based on current use rate.Graph: Time curve of distribution for selected items showing daily distribution number since start of event. Section of items for display will depend on perceived potential for shortage or item criticality (especially IV fluids, PPE).

Critical Item Hospital Use Rate

HC Standard Table: Daily rate of use of PPE and IVF per 1000 for each hospital for duration of event

Workforce Report Daily

NDDoH Personnel(may or may not be produced by the data unit)

Strohl System only in part Table: Each employee assigned to NDDoH, fitness for duty, current assignment, location, comments/notesTable: Each employee assigned to NDDoH with shift worked for each day of the event

Local workforce loss Data source not determined Table: Estimated percentage of workforce available for work, by county

Mental Health Report TBD

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ATTACHMENTSNOTE: LISTS OF SPECIFIC ENTITIES (LTCF, HOSPITALS, EMS) MUST BE UPDATED AT TIME OF EVENT.

Created December 31, 2008Modified December 3, 2014

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SAMPLE DEATH REPORT [DATE] [TIME]

Data Quality: Good Data Quality: FairIncident Wave Cumulative from [DATE]

New deaths due to any cause x New deaths due to influenza 24 hours xTotal deaths due to any cause x Total influenza deaths x

Created December 31, 2008Modified December 3, 2014

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Cumulative Number of Influenza DeathsNorth Dakota, January 1-- January 10, 2009

1 5 25 4590

140

215

293340

440

0

100

200

300

400

500

Year

Perc

enta

ge

Incident Number of Influenza DeathsNorth Dakota, January 1-- January 10, 2009

1 4

2030

4550

75 78 7770

0

20

40

60

80

100

YearPe

rcen

tage

Cummulative Number of All Cause DeathsNorth Dakota, January 1-- January 10, 2009

21 4585

125190

260

345

453520

640

0100200300400500600700

Year

Perc

enta

ge

Incident Number of All Cause DeathsNorth Dakota, January 1-- January 10, 2009

21 24

4450

6570

95 98 9790

0

20

40

60

80

100

Year

Perc

enta

ge

MAP OF CUMULATIVE DEATHS BY COUNTY

MAP OF INCIDENT DEATHS BY COUNTY

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Data Quality: FairIncident and Cumulative Disaster Deaths

COUNTY INCIDENT CUMULATIVEAdamsBarnesBensonBillingsBottineauBowmanBurkeBurleighCassCavalierDickeyDivideDunnEddyEmmonsFosterGolden ValleyGrand ForksGrantGriggsHettingerKidderLamoureLoganMcHenryMcIntoshMcKenzieMcLeanMercerMortonMountrailNelsonOliverPembinaPierceRamseyRansom

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RenvilleRichlandRoletteSargentSheridanSiouxSlopeStarkSteeleStutsmanTownerTraillWalshWardWellsWilliams

Created December 31, 2008Modified December 3, 2014

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Data Quality: GoodDisaster-Related Deaths

DATERegion County City Hospital Incident Cumulative SW Adams Hettinger West River Regional Medical CenterSEC Barnes Valley City Mercy HospitalNWC Bottineau Bottineau St. Andrew's Health CenterSW Bowman Bowman Southwest Healthcare ServicesSWC Burleigh Bismarck St. Alexius Medical CenterSWC Burleigh Bismarck Medcenter One Health SystemsSE Cass Fargo Innovis HealthSE Cass Fargo MeritCare HospitalSE Cass Fargo Fargo VASE Cass Fargo Prairie St John'sSE Cass Fargo SCCI Hospital – FargoNEC Cavalier Langdon Cavalier County Memorial HospitalSEC Dickey Oakes Oakes Community HospitalNW Divide Crosby St. Luke's HospitalSWC Emmons Linton Linton HospitalSEC Foster Carrington Carrington Health CenterNE Grand F Grand Forks Altru Health SystemNE Grand F Northwood Northwood Deaconess Health CenterSWC Grant Elgin Jacobson Memorial Hospital Care CenterNE Griggs Cooperstown Cooperstown Medical CenterSEC McIntosh Ashley Ashley Medical CenterSEC McIntosh Wishek Wishek Community Hospital and ClinicsNW McKenzie Watford City McKenzie County Memorial HospitalNWC McLean Turtle Lake Community Memorial HospitalNWC McLean Garrison Garrison Memorial HospitalSWC Mercer Hazen Sakakawea Medical CenterNW Mountrail Stanley Mountrail County Medical CenterNE Nelson McVille Nelson County Health System-HospitalNE Pembina Cavalier Pembina County Memorial HospitalNEC Pierce Rugby Heart of America Medical Center NEC Ramsey Devils Lake Mercy HospitalSE Ransom Lisbon Lisbon Area Health ServicesNEC Rolette Rolla Presentation Medical CenterSWC Sioux Fort Yates IHS Standing Rock HospitalSW Stark Dickinson Saint Joseph's Hospital and Health CenterSW Stark Richardton Richardton Health CenterSEC Stutsman Jamestown Jamestown HospitalSEC Stutsman Jamestown North Dakota State HospitalNEC Towner Cando Towner County Medical CenterSE Traill Hillsboro Hillsboro Medical CenterSE Traill Mayville Union HospitalNE Walsh Grafton Unity Medical CenterNE Walsh Park River First Care Health CenterNWC Ward Kenmare Trinity Kenmare Community HospitalNWC Ward Minot Trinity Health

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SEC Wells Harvey St. Aloisius Medical CenterNW Williams Tioga Tioga Medical CenterNW Williams Williston Mercy Medical Center

Created December 31, 2008Modified December 3, 2014

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Data Quality: GoodAll Cause Deaths

DATERegion County City Hospital Incident Cumulative SW Adams Hettinger West River Regional Medical CenterSEC Barnes Valley City Mercy HospitalNWC Bottineau Bottineau St. Andrew's Health CenterSW Bowman Bowman Southwest Healthcare ServicesSWC Burleigh Bismarck St. Alexius Medical CenterSWC Burleigh Bismarck Medcenter One Health SystemsSE Cass Fargo Innovis HealthSE Cass Fargo MeritCare HospitalSE Cass Fargo Fargo VASE Cass Fargo Prairie St John'sSE Cass Fargo SCCI Hospital – FargoNEC Cavalier Langdon Cavalier County Memorial HospitalSEC Dickey Oakes Oakes Community HospitalNW Divide Crosby St. Luke's HospitalSWC Emmons Linton Linton HospitalSEC Foster Carrington Carrington Health CenterNE Grand F Grand Forks Altru Health SystemNE Grand F Northwood Northwood Deaconess Health CenterSWC Grant Elgin Jacobson Memorial Hospital Care CenterNE Griggs Cooperstown Cooperstown Medical CenterSEC McIntosh Ashley Ashley Medical CenterSEC McIntosh Wishek Wishek Community Hospital and ClinicsNW McKenzie Watford City McKenzie County Memorial HospitalNWC McLean Turtle Lake Community Memorial HospitalNWC McLean Garrison Garrison Memorial HospitalSWC Mercer Hazen Sakakawea Medical CenterNW Mountrail Stanley Mountrail County Medical CenterNE Nelson McVille Nelson County Health System-HospitalNE Pembina Cavalier Pembina County Memorial HospitalNEC Pierce Rugby Heart of America Medical Center NEC Ramsey Devils Lake Mercy HospitalSE Ransom Lisbon Lisbon Area Health ServicesNEC Rolette Rolla Presentation Medical CenterSWC Sioux Fort Yates IHS Standing Rock HospitalSW Stark Dickinson Saint Joseph's Hospital and Health CenterSW Stark Richardton Richardton Health CenterSEC Stutsman Jamestown Jamestown HospitalSEC Stutsman Jamestown North Dakota State HospitalNEC Towner Cando Towner County Medical CenterSE Traill Hillsboro Hillsboro Medical CenterSE Traill Mayville Union HospitalNE Walsh Grafton Unity Medical CenterNE Walsh Park River First Care Health CenterNWC Ward Kenmare Trinity Kenmare Community HospitalNWC Ward Minot Trinity Health

Created December 31, 2008Modified December 3, 2014

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SEC Wells Harvey St. Aloisius Medical CenterNW Williams Tioga Tioga Medical CenterNW Williams Williston Mercy Medical Center

Created December 31, 2008Modified December 3, 2014

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MORGUE REPORT

Region County CityNew Admits

Total Bodies

Not Identified

CommunityUnretrieved

Interred

SW Adams Hettinger    SEC Barnes Valley City    NWC Bottineau Bottineau    SW Bowman Bowman    SWC Burleigh Bismarck    SWC Burleigh Bismarck    SE Cass Fargo    SE Cass Fargo    SE Cass Fargo    SE Cass Fargo    SE Cass Fargo    NEC Cavalier Langdon    SEC Dickey Oakes    NW Divide Crosby    SWC Emmons Linton    SEC Foster Carrington    NE Grand F Grand Forks    NE Grand F Northwood    SWC Grant Elgin    NE Griggs Cooperstown    SEC McIntosh Ashley    SEC McIntosh Wishek    NW McKenzie Watford City    NWC McLean Turtle Lake    NWC McLean Garrison    SWC Mercer Hazen    NW Mountrail Stanley    NE Nelson McVille    NE Pembina Cavalier    NEC Pierce Rugby    NEC Ramsey Devils Lake    SE Ransom Lisbon    NEC Rolette Rolla    SWC Sioux Fort Yates    SW Stark Dickinson    SW Stark Richardton    SEC Stutsman Jamestown    SEC Stutsman Jamestown    NEC Towner Cando    SE Traill Hillsboro    SE Traill Mayville    NE Walsh Grafton    NE Walsh Park River    NWC Ward Kenmare    NWC Ward Minot    SEC Wells Harvey    NW Williams Tioga    

Created December 31, 2008Modified December 3, 2014

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NW Williams Williston    

Created December 31, 2008Modified December 3, 2014

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SAMPLE HEALTH CARE CAPACITY REPORT

HOSPITALADMISSION DISCHARGE STATUS

County Hospital

24 hour [DISEASE]Admits8am [date] to 7:59am [date]

24 hour All-CauseAdmits8am [date] to 7:59am [date]

24 hour Discharges 8am [date] to 7:59am [date]

Current Census

AdamsWest River Regional Medical Center

Barnes Mercy HospitalBottineau St. Andrew's Health Center

BowmanSouthwest Healthcare Services

Burleigh St. Alexius Medical Center

BurleighMedcenter One Health Systems

Cass Innovis HealthCass MeritCare HospitalCass Fargo VACass Prairie St John'sCass SCCI Hospital - Fargo

CavalierCavalier County Memorial Hospital

Dickey Oakes Community HospitalDivide St. Luke's HospitalEmmons Linton HospitalFoster Carrington Health CenterGrand F Altru Health System

Grand FNorthwood Deaconess Health Center

GrantJacobson Memorial Hospital Care Center

Griggs Cooperstown Medical CenterMcIntosh Ashley Medical Center

McIntoshWishek Community Hospital and Clinics

McKenzieMcKenzie County Memorial Hospital

McLeanCommunity Memorial Hospital

McLean Garrison Memorial HospitalMercer Sakakawea Medical Center

MountrailMountrail County Medical Center

NelsonNelson County Health System-Hospital

PembinaPembina County Memorial Hospital

PierceHeart of America Medical Center

Ramsey Mercy HospitalRansom Lisbon Area Health Services

Created December 31, 2008Modified December 3, 2014

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Rolette Presentation Medical CenterSioux IHS Standing Rock Hospital

StarkSaint Joseph's Hospital and Health Center

Stark Richardton Health CenterStutsman Jamestown HospitalStutsman North Dakota State Hospital

TownerTowner County Medical Center

Traill Hillsboro Medical CenterTraill Union HospitalWalsh Unity Medical CenterWalsh First Care Health Center

WardTrinity Kenmare Community Hospital

Ward Trinity HealthWells St. Aloisius Medical CenterWilliams Tioga Medical CenterWilliams Mercy Medical Center

Created December 31, 2008Modified December 3, 2014

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HOSPITAL OVERLOAD STATUS

Hospital Current Census

Current Staffing

Percent Overload

Percent Overload

Percent Overload

3 day Growth Rate

01/01/2009 01/02/2009 01/03/2009West River Regional Medical CenterMercy HospitalSt. Andrew's Health CenterSouthwest Healthcare ServicesSt. Alexius Medical CenterMedcenter One Health SystemsInnovis HealthMeritCare HospitalFargo VAPrairie St John'sSCCI Hospital - FargoCavalier County Memorial HospitalOakes Community HospitalSt. Luke's HospitalLinton HospitalCarrington Health Center

Altru Health SystemNorthwood Deaconess Health CenterJacobson Memorial Hospital Care CenterCooperstown Medical CenterAshley Medical CenterWishek Community Hospital and ClinicsMcKenzie County Memorial HospitalCommunity Memorial HospitalGarrison Memorial HospitalSakakawea Medical CenterMountrail County Medical CenterNelson County Health System-HospitalPembina County Memorial HospitalHeart of America Medical Center Mercy HospitalLisbon Area Health Services

Created December 31, 2008Modified December 3, 2014

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Presentation Medical Center

IHS Standing Rock HospitalSaint Joseph's Hospital and Health CenterRichardton Health CenterJamestown HospitalNorth Dakota State HospitalTowner County Medical Center

Hillsboro Medical CenterUnion HospitalUnity Medical Center

First Care Health CenterTrinity Kenmare Community HospitalTrinity Health

St. Aloisius Medical Center

Tioga Medical Center

Mercy Medical Center

Created December 31, 2008Modified December 3, 2014

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HOSPITAL WORKFORCE STATUS

County Hospital

Percentage of Normal Staffing, Critical Care01/01/09

Percentage of Normal Staffing, Critical Care01/02/09

Percentage of Normal Staffing, Non-Critical Care01/01/09

Percentage of Normal Staffing, Non-Critical Care01/02/09

AdamsWest River Regional Medical Center

Barnes Mercy HospitalBottineau St. Andrew's Health Center

BowmanSouthwest Healthcare Services

Burleigh St. Alexius Medical Center

BurleighMedcenter One Health Systems

Cass Innovis HealthCass MeritCare HospitalCass Fargo VACass Prairie St John'sCass SCCI Hospital - Fargo

CavalierCavalier County Memorial Hospital

Dickey Oakes Community HospitalDivide St. Luke's HospitalEmmons Linton HospitalFoster Carrington Health CenterGrand F Altru Health System

Grand FNorthwood Deaconess Health Center

GrantJacobson Memorial Hospital Care Center

Griggs Cooperstown Medical CenterMcIntosh Ashley Medical Center

McIntoshWishek Community Hospital and Clinics

McKenzieMcKenzie County Memorial Hospital

McLeanCommunity Memorial Hospital

McLean Garrison Memorial HospitalMercer Sakakawea Medical Center

MountrailMountrail County Medical Center

NelsonNelson County Health System-Hospital

PembinaPembina County Memorial Hospital

PierceHeart of America Medical Center

Ramsey Mercy HospitalRansom Lisbon Area Health ServicesRolette Presentation Medical Center

Created December 31, 2008Modified December 3, 2014

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Sioux IHS Standing Rock Hospital

StarkSaint Joseph's Hospital and Health Center

Stark Richardton Health CenterStutsman Jamestown HospitalStutsman North Dakota State Hospital

TownerTowner County Medical Center

Traill Hillsboro Medical CenterTraill Union HospitalWalsh Unity Medical CenterWalsh First Care Health Center

WardTrinity Kenmare Community Hospital

Ward Trinity HealthWells St. Aloisius Medical CenterWilliams Tioga Medical CenterWilliams Mercy Medical Center

Created December 31, 2008Modified December 3, 2014

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MCF FACILITY Planned Maximum Acute* Census

Census01/1/2009

Census 01/02/2009

PercentageAssisted Living01/01/2009

* Seriously ill patients (i.e., not assisted living)

Created December 31, 2008Modified December 3, 2014

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DATE____________SKILLED CARE NURSING HOMES

Number Disaster-Related Cases

Current Census Deaths Past 24 Hours

Western Horizons Care Center ADAMSSheyenne Care Center BARNESGood Samaritan Society - Bottineau BOTTINEAUWesthope Home BOTTINEAUSouthwest Healthcare Servs BOWMANBaptist Home Inc BURLEIGHMedcenter One Subacute Cr BURLEIGHMissouri Slope Luth Care Ctr BURLEIGHSt Alexius Medical Ctr Tcu BURLEIGHMedcenter One St Vincents BURLEIGHGood Samaritan Society - Arthur CASSBethany Homes CASSElim Care Center CASSManor Care Health Services CASSMeritcare Hospital Tcu CASSRosewood On Broadway CASSVilla Maria CASSMaple Manor Care Center CAVALIERGood Samaritan Society - Osnabrock CAVALIERPrince Of Peace Care Center DICKEYGood Samaritan Society - Oakes DICKEYGood Samaritan Society - Crosby DIVIDEHill Top Home Of Comfort Inc DUNNLutheran Home Of The Good Shepherd EDDYStrasburg Nursing Home EMMONSGolden Acres Manor FOSTERValley Eldercare Ctr GFWoodside Village GFGood Samaritan Society - Larimore GFNorthwood Deaconess Health Cnt GFJacobson Memorial Hospital Care Center GRANTCooperstown Medical Ctr Nursing Home GRIGGSGood Samaritan Society - Mott HETTINGER

Created December 31, 2008Modified December 3, 2014

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Medcenter One Golden Manor KIDDERSt Rose Care Center LAMOURENapoleon Care Center LOGANSouris Valley Care Center MCHENRYAshley Medical Center Nursing Home MCINTOSHWishek Home For The Aged MCINTOSHMckenzie County Healthcare Systems Long Term Care MCKENZIEGarrison Mem Hosp Nsg Fac MCLEANBenedictine Living Center Of Garrison MCLEANMedcenter One Prairieview MCLEANKnife River Care Center MERCERMarian Manor Healthcare Center MORTONDakota Alpha MORTONMedcenter One Care Center MORTONElm Crest Manor MORTONGood Samaritan Society - Rock View At Parshall MOUNTRAILMountrail Bethel Home MOUNTRAILAneta Parkview Health Ctr NELSONGood Samaritan Society - Lakota NELSONNelson County Health System Care Center NELSONWedgewood Manor PEMBINAPembilier Nursing Center PEMBINAHeart Of America Nursing Facility PIERCEGood Samaritan Society - Devils Lake RAMSEYHeartland Care Center RAMSEYMaryhill Manor RANSOMNorth Dakota Veteran Home RANSOMParkside Lutheran Home RANSOMGood Samaritan Society - Mohall RENVILLESt Gerards Community Nursing Home RISHLANDSt Catherines Living Center RISHLANDDunseith Com Nursing Home ROLETTERolette Community Care Center ROLETTEFour Seasons Health Care Inc SARGENTSt Benedicts Health Center STARKSt Lukes Home STARKAve Maria Village STUTSMANHi-Acres Manor Nursing Ctr STUTSMAN

Created December 31, 2008Modified December 3, 2014

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Towner County Living Ctr TOWNERTri-County Health Center TRAILLHillsboro Medical Center Nursing Home TRAILLLuther Memorial Home TRAILLGood Samaritan Society - Park River WALSHLutheran Sunset Home WALSONKenmare Com Hospital Snu WARDManor Care Health Services WARDTrinity Homes WARDSt Aloisius Medical Center Nursing Home WELLSTioga Medical Center Ltc WILLIAMSBethel Lutheran Home WILLIAMS

Created December 31, 2008Modified December 3, 2014

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DATE____________ BASIC CARE NURSING HOMES

Number Disaster-Related Cases

Current Census

Deaths Past 24 Hours

Western Horizons Care Center ADAMSHi Soaring Eagle Ranch BARNESMaddock Memorial Home BENSONSouthwest Healthcare Services BOWMANBaptist Home Basic Care BURLEIGHEdgewood Bismarck Senior Living BURLEIGHMaple View 2 East BURLEIGHThe Terrace BURLEIGHWaterford On West Century BURLEIGHMaple View BURLEIGHGood Samaritan Society - Arthur (Prairie Villa) CASSEvergreens Of Fargo CASSWaterford At Harwood Groves CASSEdgewood Vista Of Fargo CASSGood Samaritan Society - Fargo CASSSheyenne Crossings - Prairie Square CASSGood Samaritan Society - Osnabrock CAVALIEREllendale Evergreen Place DICKEYGood Samaritan Society - Crosby DIVIDEHoly Family Villa FOSTERParkwood Place Inn GFSt Annes Guest Home GFTufte Manor GFDakota Hill Housing GRANTGood Samaritan Society - Mott HETTINGERManor St Joseph LAMOUREGackle Care Center LOGANMckenzie County Healthcare Systems Inc MCKENZIERedwood Village MCLEANSenior Suites At Sakakawea MERCERDakota Pointe MORTONGood Samaritan Society - New Town MOUNTRAILBorg Pioneer Memorial Home PEMBINAPembilier Nursing Center PEMBINAHarold S Haaland Home PIERCE

Created December 31, 2008Modified December 3, 2014

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Odd Fellows Home RAMSEYEdmore Memorial Rest Home RAMSEYGood Samaritan Society - Lake Country RAMSEY North Dakota Veterans Home RANSOMSt Catherines Living Center RICHLANDLeach Home RICHLANDFour Seasons Healthcare Cn Inc SARGENTSheridan Memorial Home SHERIDANEvergreen STARKCountryhouse STARKBethel 4 Acres Ltd STUTSMANRoseadele STUTSMANRock Of Ages STUTSMANSt Francis Residence TOWNERBaptist Home Of Kenmare WARDEdgewood Minot Senior Living, Llc WARDEdgewood Minot Senior Living, Llc - Alzheimers WARDEmerald Court WARDBethel Lutheran Nelson Manor Bc WILLIAMSKensington Williston Llc WILLIAMS

Created December 31, 2008Modified December 3, 2014

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EMS SERVICE STATUS AND PERCENTAGE FUNCTIONING

COMPANY CITYSTATE

Status*

% Usual Personnel

ALS Capable

BLS Capable

Rock Lake Ambulance Service Rock Lake NDBowman Ambulance Squad Inc Bowman ND5th Medical Group Ambulance Service Minot AFB NDAlmont Ambulance Service Almont NDAltru Health System Ambulance Service Grand Forks ND

Ambulance Service, Inc.Breckenridge MN

Aneta Ambulance Service Aneta NDAshley Ambulance Service Ashley NDAvera St. Lukes Careflight Aberdeen SDBarnes County / City Ambulance Valley City NDBelcourt Ambulance Service Belcourt NDBelfield Ambulance Service Inc. Belfield NDBerthold Ambulance Service Inc. Berthold NDBillings County Ambulance Service Medora NDBismarck Air Medical LLC Mandan NDBlack Hills Life Flight Rapid City SDBottineau Ambulance Service Bottineau NDBowbells Ambulance Service Bowbells NDBowdon Ambulance Service Bowdon NDCarpio Ambulance Service Carpio NDCarrington Health Center Ambulance Carrington NDCarson Ambulance Service Carson NDCasselton Ambulance Service, Inc. Casselton NDCavalier Ambulance Service, Inc. Cavalier NDCoal Creek Station Amb Service - GRE Underwood NDCommunity Ambulance Service Inc. Beach NDCommunity Ambulance Service Of Rolla Rolla NDCommunity Ambulance Service of New Rockford

New Rockford ND

Community Ambulance Service, Inc. Minot NDCommunity Volunteer EMS of LaMoure LaMoure ND

Cooperstown Ambulance ServiceCooperstown ND

Coteau Properties Co.--Ambulance Service Beulah NDDakota Gasification Co.--Ambulance Service Beulah NDDickinson Area Ambulance Service, Inc. Dickinson ND

Created December 31, 2008Modified December 3, 2014

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Divide County Ambulance Service Crosby NDDrayton Volunteer Ambulance Association Inc. Drayton NDEdgeley Ambulance Service Edgeley NDEdmore Volunteer Ambulance Service Edmore NDEllendale Community Ambulance Service Ellendale NDEmmons County Ambulance Service Linton NDEsmond Community Ambulance Service Esmond NDF-M Ambulance Service Inc - West Fargo Fargo NDF-M Ambulance Service, Inc. Fargo NDFalkirk Mine Ambulance Service Underwood NDFessenden Ambulance Service Fessenden NDFinley Ambulance Service Finley NDFirst Medic Ambulance of Ransom County Lisbon NDFlasher Ambulance Service Flasher NDGackle Ambulance Service Gackle NDGarrison - Max Ambulance District Garrison NDGlen Ullin Area Ambulance Service Glen Ullin NDGlenburn Area Ambulance Service Inc Glenburn NDGolden Heart EMS Rugby NDGoodrich Ambulance Service Goodrich NDGrenora Ambulance Service Grenora NDHalliday Ambulance Service Halliday NDHankinson Vol Ambulance Service Hankinson NDHarvey Ambulance Service, Inc. Harvey NDHebron Ambulance Service Hebron NDHillsboro Ambulance Service Hillsboro NDHope Ambulance Service Hope NDHunter Ambulance Service Hunter NDJamestown Area Ambulance Fergus Falls MNJud Edgeley NDKenmare Ambulance Service Kenmare NDKidder County Ambulance Service Steele NDKilldeer Area Ambulance Service Inc Killdeer NDKindred Area Ambulance Service Kindred NDKulm Ambulance Corps, Inc. Kulm NDLake Region Ambulance Service Devils Lake NDLakota Ambulance Service Lakota NDLangdon Ambulance Service Langdon NDLansford Ambulance Service Lansford ND

Created December 31, 2008Modified December 3, 2014

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Larimore Ambulance Service Inc. Larimore NDLeeds Ambulance Service Leeds NDLemmon EMT Association Lemmon SDLidgerwood Rural Ambulance Service District Lidgerwood NDMaddock Ambulance Service Maddock NDMarmarth Ambulance Service Marmarth NDMcclusky Rural Ambulance District McClusky NDMchenry Ambulance Service McHenry NDMcintosh V.F.D. Ambulance Service McIntosh SDMckenzie County Ambulance Service Watford City NDMcville Community Ambulance Service McVille NDMedina Ambulance Service Medina NDMercer Co Amb Service Inc -- Hazen Hazen NDMercer County Ambulance Service Inc. -- Beulah Hazen NDMeritcare Lifeflight Fargo NDMetro Area Ambulance Service Inc (M) Mandan NDMetro Area Ambulance Service Inc - Bismarck Mandan NDMichigan Area Ambulance Service Inc. Michigan NDMohall Ambulance Service Mohall NDMott Ambulance Service Mott NDMunich Rural Ambulance Munich NDNapoleon Ambulance Service Napoleon ND

New England Ambulance ServiceNew England ND

New Salem Ambulance Service New Salem NDNew Town Community Amb. Service District New Town NDNorman County EMS Ada MNNorthwood Ambulance Service Northwood NDOakes Volunteer Ambulance Service Oakes NDOliver County Ambulance Service Center NDPage Ambulance Service Page NDPark River Volunteer Ambulance Service Park River NDParshall Rural Ambulance Service Inc. Parshall NDPembina Ambulance Service Pembina NDPortal Ambulance Service Portal NDPowers Lake Ambulance Association Powers Lake NDRay Community Ambulance District Ray NDRegent Ambulance Service Regent NDRichardton-Taylor Ambulance Service Richardton ND

Created December 31, 2008Modified December 3, 2014

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Richland County Ambulance Sidney MTRiverdale Ambulance Department Riverdale NDRolette Ambulance Service, Inc Rolette NDRugby Emergency Ambulance Service Rugby NDRyder-Makoti Ambulance Service Ryder NDSargent County Amb Service - Forman Forman NDSargent County Ambulance Service Milnor NDSherwood Ambulance Service Sherwood NDSpirit Lake Emergency Medical Service Fort Totten NDStanding Rock Ambulance Service Ft. Yates NDStanley Ambulance Service Stanley NDTioga Ambulance Service Tioga NDTowner County Ambulance Service Inc. - Cando Cando NDTowner Fire, Ambulance, and Rescue Service, Inc. Towner NDTrinity Northstar Criticair Minot NDTurtle Lake Ambulance Service Turtle Lake NDUnderwood Ambulance Service Underwood NDUpham Ambulance Service Towner NDValley Ambulance & Rescue Serv Inc Grafton NDVelva Ambulance Service Velva NDWalhalla Ambulance Service Walhalla NDWashburn Volunteer Ambulance Serv Washburn NDWest River Ambulance Service Hettinger NDWest Traill Ambulance Service Mayville NDWesthope Ambulance Service Westhope NDWilliston Ambulance Service Williston NDWilton Rural Ambulance Service Wilton NDWing Rural Ambulance Wing NDWishek Ambulance Service Wishek NDWyndmere-Barney Rural Amb Dist Wyndmere ND

*What is the operational status of the service: functional or out-of-service

Created December 31, 2008Modified December 3, 2014

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COMMUNITY CONTAINMENT REPORT [DATE]

County # Voluntary Quarantine # Mandatory Quarantine

Created December 31, 2008Modified December 3, 2014

41

MAP OF QUARANTINE NUMBERS BY COUNTY

GRAPH OF TOTAL PATIENTS UNDER QUARANTINE BY DATE

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PROPHYLAXIS AND TREATMENT REPORT[DATE] [TIME]

Mass Antibiotic Dispensing ProgressPOD Name Location Courses

Disp Past 24 Hours

Total Courses Disp

% of Target Pop Complete

Undispensed Courses in Inventory

Vaccine Second Dose Tracking County Number of Persons >60 Days

Since First Vaccine Dose

Priority Vaccine Coverage by Tier County Tier % Coverage

COUNTY 1Tier 1-priority 1 HCW1Tier 1 Priority 2 H SecurityTier 1 Priority 3 EMSTier 1 Priority 4 HCW2Tier 1 Priority 5 Fire/PoliceTier 1 Priority 6 Preg/6-12mTier 1 Priority 7 Other HCWTier 2 Border ProtectionTier 2 National GuardTier 2 Community SupportTier 2 Utility infrastructureTier 2 Critical Govt (State) Tier 2 Critical Govt (Local)Tier 2 HH Contacts of <6mo

Created December 31, 2008Modified December 3, 2014

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Tier 2/3 High Risk ChildrenTier 3 Other HCW-not directTier 3 Other Active Duty MilTier 3 TransportationTier 3 Food and AgricultureTier 3 Banking and FinanceTier 3 PharmaceuticalTier 3 ChemicalTier 3 PostalTier 3 ShippingTier 3 Other Govt COOPTier 3/4 Adult Hi-Risk& 65+

COUNTY 2

ANTIVIRAL USE RATE

COUNTY POPULATIONKNOWN CASES

ANTIVIRAL USE RATE/1000 POP

Adams 2,593    Barnes 11,775    Benson 6,964    Billings 888    Bottineau 7,149    Bowman 3,242    Burke 2,242    Burleigh 69,416    Cass 123,138    Cavalier 4,831    Dickey 5,757    Divide 2,283    Dunn 3,600    Eddy 2,757    Emmons 4,331    Foster 3,759    Golden V. 1,924    Grand Forks 66,109    Grant 2,841    Griggs 2,754    Hettinger 2,715    Kidder 2,753    LaMoure 4,701    

Created December 31, 2008Modified December 3, 2014

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Logan 2,308    McHenry 5,987    McIntosh 3,390    McKenzie 5,737    McLean 9,311    Mercer 8,644    Morton 25,303    Mountrail 6,631    Nelson 3,715    Oliver 2,065    Pembina 8,585    Pierce 4,675    Ramsey 12,066    Ransom 5,890    Renville 2,610    Richland 17,998    Rolette 13,674    Sargent 4,366    Sheridan 1,710    Sioux 4,044    Slope 767    Stark 22,636    Steele 2,258    Stutsman 21,908    Towner 2,876    Traill 8,477    Walsh 12,389    Ward 58,795    Wells 5,102    Williams 19,761    

Created December 31, 2008Modified December 3, 2014

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SUPPLY CACHE REPORT[DATE]

Item Description FormStarting

Qty%

RemainingUse Rate

Est Out Date

2-way radios (Dakota Comm) 2/set      5 Port O2 Manifold      5 Port O2 Manifold      Adult Tongue Blade 6 in 500/Box 10BX/CS Non-sterile      AEDs, Zoll      Alcohol Gel Cleanser Hand Sanitizer 24/CS      All Silicone Foley Cath Tray 18FR 5cc 20/CS      Aluminum Commode 4/CS      Assure 3 Glocose Test Strips 100/Pkg      Assure 3 Glucose Monitor      Bag, Ambu, Infant, Disposable 6 per case      Bag, Ambu, Pediatric, Disposable 6 per case      Bags, Urinary Drainage 20 per case      Band ID, Clear, Adult (latex free) 250/BX      Basin, Emesis 250/CS      Bath Wipes 48/CS      Bedpan Fracture Style 250/CS      Bedpan-Disposable/Ivory 20/CS      Brief, Ultra, Adult, Large 80/CS      Brief, Ultra, Adult, Medium 80/CS      Brief, Ultra, Adult, Small 96/CS      Cannula Tubing, Oxygen, Nasal adult 25/CS      Cannula Tubing, Oxygen, Nasal infant 50/CS      Cannula Tubing, Oxygen, Nasal pediatric 50/CS      Cannula, over the ear standard      Dial Soap Bar .67 OZ 1000/CS      Disposable Nipple & Nut Christmas Tree O2 50/CS      Disposable Suction Cannisters 10/CS      Durapore Cloth Tape 1N 12RL/BX 10BX/CS      Economy Folding Screen      Economy Folding Screen Panels      Forensic Bags, adult      Forensic bags, child      Forensic Bags, infant      Gown, Provider, Open Back, Large 12/DZ      Gown, Provider, Open Back, Medium 12/DZ      Hand Held Suction Device      INSYTE IV CATH 16Gx1.16in 50/Box 4BX/CS      INSYTE IV CATH 18Gx1.16in 50/Box 4BX/CS      Interlink Basic Sol'N Set S INJ.SITE 70" 48/CS      Isolation Gown 50 per CS      IV Stand 2 Hook      Magellan Safety NDL 20Gx1.5" 50/BX 10BX/CS      Mask, Oxygen, Non-Rebreather adult 50/CS      Mask, Oxygen, Non-Rebreather pediatric 50/CS      

Created December 31, 2008Modified December 3, 2014

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Minor Laceration Tray W/Instruments 20/CS      N95 Respirator Mask Reg 3M 1860 120 per CS      N95 Respiratory Mask Medicom 160 per CS      N95 Respiratory Mask Small 3M 1860S 120/CS      Nitrile Exam Glove Large 1000 per CS      Nitrile Exam Glove Medium 1000 per CS      Nitrile Exam Glove Small 1000 per CS      OB Kit/Boxed 10/Case      Oxygen Cylinder E Tanks with on/off valve      Oxygen Non-Rebreathing Mask      Oxygen Non-Rebreathing Mask with Tubing      Oxygen Regulator      Pad, under 150/CS      Pocket Aneroid Adult      Pocket Aneroid Child      Pocket Aneroid Infant      Pocket Aneroid Large Adult      Pocket Aneroid Thigh      Portable Ventilators, Adult      Portable Ventilators, Infant      Privacy Screen, 3-Fold Panel 1 ea      Protective Eyewear/Glasses 50 per CS      Pulse Oximeter w/sensor      Resuscitator Mask Adult      Resuscitator Mask Child 6/CS      Rioking Aluminum Folding Cot      Scissor, Lister, 7-1/4' 1ea      Sharps Container w/needle remover 20/CS      SOD. CHLORIDE.9% INJ.1000ML.USP NACL 14/CS      Soft-Fall Bedside Mat-Non-slip      Sphygmomanometer, Aroid Set, BP Cuff, Adult 1/ea      Sphygmomanometer, Aroid Set, BP Cuff, Child 1/ea      Sphygmomanometer, Aroid Set, BP Cuff, Infant 1/ea      Stand-IV, 4 legs 1/EA      Stethoscope 1/EA      Stethoscope Black      Stethoscope Cardiology 1/ea      Suction Cath 14 FR Adult 50/CS      Suction Cath 14FR W/Control VLV 50/CS      Suction Cath 8 FR Peds 50/CS      Surgical Mask/Tie 300 per CS      Surgical Mask/Tie 3M 1818 50/BX 12 BX/CS      Surgical Mask/Tie with Shield 100 per CS      Syringe 12cc Luer Lock 80/BX 6BX/CS      Syringe 60cc Luer Lock 20/Box 5BX/CS      Syringe 6cc Luer Lock 50/Box 10BX/CS      Syringe INS U100 1CC 29Gx1/2in Safety 100/BX 5BX/CS      Tendersorb Abd Pad 7.5x8in 20/TRA 10TRA/CS Sterile      Thermometer, Probe Cover 200/pk      

Created December 31, 2008Modified December 3, 2014

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Thermoscan Tympanic Thermometer      Tooth Brush      Toothpast Freshmint      Trash bags, clear 100/CS      Trash bags, red infecitous waste (Cole Paper) 250/CS      Uniquet Tourniquet Reuse Ltx-Free 25/Box 20BX/CS      Urinal, Male, Disposable 50/CS      Webcol Alcohol Preps Medium 200/BX/CS      

Created December 31, 2008Modified December 3, 2014

47

Critical Supply Item Usage Trend Graph (day by usage rate for single item)